Outbreak: On Transgender Teens and Psychic Epidemics

Having lived through both World Wars, Jung was aware of the dangers of what he termed “psychic epidemics.” He discussed the spontaneous manifestation of an archetype within collective life as indicative of a critical time during which there is a serious risk of a destructive psychic epidemic.

?Currently, we appear to be experiencing a significant psychic epidemic that is manifesting as children and young people coming to believe that they are the opposite sex, and in some cases taking drastic measures to change their bodies. Of particular concern to the author is the number of teens and tweens suddenly coming out as transgender without a prior history of discomfort with their sex.

“Rapid-onset gender dysphoria” is a new presentation of a condition that has not been well studied. Reports online indicate that a young person's coming out as transgender is often preceded by increased social media use and/or having one or more peers also come out as transgender. These factors suggest that social contagion may be contributing to the significant rise in the number of young people seeking treatment for gender dysphoria.

Current psychotherapeutic practice involves immediate affirmation of a young person's self-diagnosis, which often leads to support for social and even medical transition. Although this practice will likely help small numbers of children, there may also be many false positives.     

Strength in the Face of Adversity: Resilience Strategies of Transgender Individuals

This phenomenological inquiry explored the lived experiences of resilience of 21 transgender individuals. Through individual semistructured interviews (3 interviews each with 5 participants) and 1 focus group interview (16 participants), the authors identified 5 common resiliency themes (evolving a self‐generated definition of self, embracing self‐worth, awareness of oppression, connection with a supportive community, and cultivating hope for the future) and 2 variant themes (social activism and being a positive role model for others). Future practice and research directions are discussed.     

Supporting families of transgender children/youth: Parents speak on their experiences,identity, and views

ABSTRACT

Background: Transgender children/youth demonstrate the best possibility for resilience and positive mental health when they are part of an affirming and supportive family. To optimize families in supporting transgender children/youth, parents/caregivers need to be supported. Transgender children/youth and their families regularly navigate a myriad of challenges through society.

Aims: Within the extant literature on transgender children and youth, relatively little attention is focused on the experiences of parents/caregivers and how their close family relationships are affected. The present qualitative study addresses this gap in knowledge through its exploration of the experiences, identities, and views of parents/caregivers of transgender children/youth.

Method: The study is longitudinal and this article represents the first wave. Fourteen parents of 12 transgender children/youth, aged 6–17, participated in in-depth semistructured interviews. Participants were recruited via social media and at an on-site conference for transgender youth and their families. All children/youth had socially transitioned. Those who were eligible for puberty suppression and/or hormone therapy were receiving those. The interviews were inductively coded for themes by two coders using the constant comparative method.

Results: Participants' reports on their experiences yielded three themes: (1) transgender issues as the family's focus; (2) proactivity, child-focused: preemptive actions to prevent adverse consequences; and (3) self-care. These themes included subthemes on effective coping strategies to mitigate struggles. Three themes related to participants' identity and views emerged: (1) identity reformation, (2) self-evaluation, and (3) views of future. These themes included subthemes that reflected how participants viewed themselves, their child, and the future.

Discussion: A transgender identity in one family member affects all household members. Parents/guardians may experience guilt and self-doubt over decisions. Factors that may improve outcomes with extended family and schools include families' preemptive dissemination of information on transgender identities and explicating expectations of respect and nonintrusion. Ingrained traditions may force life-altering decisions.     

Body Objectification,MTV, and Psychological Outcomes Among Female Adolescents1

In response to the American Psychological Association's Task Force on the Sexualization of Girls, the present study explored the role of sexually objectifying media—in this case, music television—in a host of psychological consequences among a community sample of adolescents girls (M age = 13 years). Objectification theory posits that the consequences of sexual objectification involve the process of self‐objectification. As such, we hypothesized that music television consumption would first and foremost be associated with self‐objectification, which would, in turn, predict a number of body‐related consequences. The findings support a model in which self‐objectification mediates a direct relation between music television viewing and body esteem, dieting, depressive symptoms, anxiety, and confidence in math ability.     

Investigating the social integration and wellbeing of transgender individuals: A meta-synthesis

Introduction: There is growing literature about the experiences of social integration and wellbeing of transgender individuals. However, there has been no synthesis across this body of research. Accordingly, the aim of this review was to aggregate, interpret, and synthesize findings from qualitative studies pertaining to the social integration and wellbeing of transgender individuals.

Methods: This study synthesized findings from 18 qualitative and mixed method studies which had explored the social integration and wellbeing of transgender individuals, using Noblit and Hare's meta-ethnography method. The Critical Appraisal Skills Programme was also used to appraise the 18 included studies.

Results: Data from the included 18 individual studies ranged from moderate to strong in quality. Data analysis revealed five major themes which influenced transgender individuals' daily lives. These were gender transition and disclosing gender identity, health and self-isolation, living with stigma and discrimination: health care, leisure and work, the importance of relationships, and last, overcoming adversity: stories of what can work.

Conclusion: This meta-synthesis reinforces many preconceived notions about transgender individuals. These include being at high risk of social exclusion, experiencing discrimination and stigma across many social situations, and last, being at high risk of poor wellbeing. This study also found that there is further need for studies that investigate the self-isolation of transgender individuals as well as this group's relationship and experiences with health care professionals and providers.     

The Counseling Experiences of Transgender and Gender Nonconforming Clients

The counseling experiences of 13 transgender and gender nonconforming (TGNC) individuals were examined via semistructured, in‐depth interviews. Using multiple standards of trustworthiness (e.g., member checking, negative case analysis), the authors analyzed each interview from an interpretative phenomenological analytic framework. Four main themes were identified: mental health professional selection process, transaffirmative approach, transnegative approach, and support systems beyond counseling. Implications for implementing culturally responsive TGNC affirmative counseling, TGNC sensitive counselor training, and social justice–oriented research are discussed.     

Coming Out to Parents in Japan: A Sociocultural Analysis of Lived Experiences

While empirical studies on LGBT individuals coming out to their parents are common in Western societies, these studies are rare in non-Western societies. This article attempts to fill that void by shedding light on the experiences of Japanese individuals coming out to their parents. The coming-out narratives of Japanese LGBT individuals (N = 43) were examined. This study revealed three important findings. (1) Similar to the findings of studies in Western societies, Japanese LGBT individuals typically consider coming out to their fathers considerably more difficult than coming out to their mothers. Moreover, many study participants expressed the absence of a significant relationship with their fathers, even before coming out—making coming out to their fathers unnecessary. (2) Similar to the findings in previous studies, Japanese mothers’ responses are often reactionary and abusive; in fact, a disproportionate number of Japanese lesbian, bisexual female, and transgender Female-to-Male/X-gender individuals reported their mothers’ markedly negative, personal responses, illustrating why some were reluctant to come out to their mothers. (3) By contrast, Japanese gay and transgender Male-to-Female/X-gender individuals reported their mothers’ responses were comparatively undemonstrative. Also, they typically attribute their mothers’ negative responses to the fact that mothers are the solo overseers of heteronormative norms at home. Overall, Japanese LGBT individuals’ experiences reveal the gendered effects of Japanese sociocultural configuration, as well as the Japanese cultural implication of disclosing one’s sexuality.     

Beyond the Binary: Trans‐Negotiations in Couple and Family Therapy

Dualistic notions about gender and sexuality have permeated the field of couple and family therapy. These binary constructions have been limiting for everyone, especially those who fall outside the male/female dichotomy. This article examines the impact of these binary notions, especially on transgender and gender‐creative individuals, couples, and families. Current theory and research in the field as they relate to gender identity, sexuality, and gender minority stress in couples and families are presented. Case examples are used to illustrate affirmative approaches to treatment issues such as coming out, safety, grief and loss, redefining relationships, and social/medical transitions that may arise for transgender or gender nonconforming (TGNC) individuals, couples, and families.     

Transgender Dispossession in <Emphasis Type="Italic">Transparent</Emphasis>: Coming Out as a Euphemism for Honesty

Since the 1990s, television narratives have increased visibility for LGBTQIA (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex, and Asexual) individuals and underscored the need for a deep exploration of the heterosexism (homophobia) that pervades much mainstream American programming (Lee and Meyer in Sex Cult 141:234–250, 2010; Manuel in Soc Semiot 19(3):275–291, 2009). One such serial, Transparent, has been credited by many major media outlets with transforming the way Americans think about transgender, gender expansive (Ehrensaft in Gender born gender made, The Experiment, New York, 2011), or trans*, individuals. Exploring Transparent through Butler and Athanasiou’s (Dispossession: the performative in the political, Polity Press, Cambridge, 2013) framework of dispossession, this essay argues that the depiction of dispossession in Transparent may serve to hypostasize the gender binary rather than to disrupt it. By severing the rhetorical act of “coming out” from the historical pathologization of non-normative sexualities and gender expansiveness in America, Transparent risks undoing the very social progress that it has the potential to further. While the show could powerfully disrupt cisgender privilege (Brydum in The true meaning of the word cisgender, 2015), as of its second season, instead, it merely illustrates how the media produced trans* “coming out” narrative all too often reifies the gender binary and cisgender privilege. Although it is tempting to praise Transparent for its representation of gender expansiveness, its problematic use of the “coming out” rhetoric should not be ignored.     

What’s in a name? A psychoanalytic exploration of self and identity in transgender individuals who were assigned female at birth

This study explores the development of self and gender identity within the lived experience of transgender individuals who were assigned female at birth and now identify as male or male spectrum. A psychoanalytically informed interview technique was employed here, involving six participants, aged 20–37 for 3–4 one-hour interviews. Alongside close attention to the content and the manner of representation of self and other across interviews, the analysis was also informed by counter-transference processes. Three core themes emerged from the data: ‘What’s in a Name?’; ‘Rejected, Bullied, Ignored and Forgotten’; and ‘I’m a Boy (not a Girl)’. Recollections of traumatic experiences and the use of laughter were other notable details that appeared across participants. Links are made between the emerging themes and concepts of incongruent mirroring and the development of a false self. Directions for further research and clinical implications for working with transgender clients in a psychotherapeutic context are also outlined.     

Media Exposure and Exemplar Accessibility

This study investigated the relation between television exposure and the ease with which individuals can retrieve examples of social events. Ninety-six college students were prompted to think of examples of constructs, some of which are frequently portrayed on television. Perceived ease of retrieving the examples and the source of the examples were measured. Media examples were more frequently recalled for events portrayed often in the media but infrequently experienced personally (e.g., courtroom trial, murder). Personal experiences were the most easily retrieved for events encountered frequently in real life, even when these events are also frequently portrayed on television (e.g., highway accidents, dates). Ease of retrieving media examples was related to hours of TV viewing, but only for viewing of television programs in which the events were common and when the direct experience with the events was likely to be low. Results are discussed with respect to media's influence on social judgment and heuristic processing.     

Supporting Transgender and Sex Reassignment Issues

SUMMARY

For the care provider unfamiliar with supporting transsexual and transgender persons, as well as their partners, it becomes an imperative to be able to identify this population's unique needs, transition concerns and relationship dynamics. New challenges arise as transgender clients become more prevalent within the GLBT community and contact community clinical resources. These include distinguishing between sexual orientation and the complexities of gender identity; differentiating actual transgender issues and ordinary relationship concerns; and recognizing characteristics of strong relationships versus those doomed to fail when one or both partner's needs can no longer get met.

This article reviews an abundance of stereotypes adversely affecting transgender individuals, relationships and which can taint the treatment environment. At a core level, there exists the need for care providers to recognize when having a transgender identity stops being a disorder, such as when the client is no longer gender dysphoric, and where the care provider needs to advocate the individual's right of self-determination. This includes recognizing when situational depression or anxiety and social discrimination are the actual root of ongoing individual and relationship concerns. With basic transgender knowledge, effectively supporting transgender persons and their relationships is possible for cross-specialty providers, and is recommended.     

Rotten,Vile, and Depraved! Depictions of Criminality in Superhero Cartoons

The literature argues that media depictions of crime present messages that conform to and promote the dominant ideology about the causes of crime and the nature of criminality. Most research focuses on television news and adult programs, but little research examines messages about criminality present in children's shows. To fill this gap, a content analysis of children's cartoons was conducted, using episodes of Batman: The Animated Series, Spider-Man, and Justice League Unlimited. Three central themes emerged. First, much criminal activity centers on greed. Second, criminals are aware of right and wrong but pursue crime to meet their own self-interests. Third, criminals are different from law-abiding people. Even if they are flawed or evil, criminals are rational and therefore culpable actors. These shows provide messages about criminality consistent with the dominant ideology.     

The moderating role of interviewer's regulatory focus in the effectiveness of impression management tactics: Regulatory fit as a source of subjective value

Based on the recently explored regulatory fit effect in social contexts, the present research is the first to investigate the interaction between interviewer's regulatory focus and interviewee's impression management (IM) tactics. We hypothesized that assertive and defensive IM tactics would fit with interviewer's promotion and prevention focus, respectively, and that interviewer's experience of this regulatory fit would lead to enhanced interview evaluation. We conducted four studies in which the participants were asked to rate an interviewee after reading a list of the interviewee's IM-related behaviours or watching a videotaped interview. Additionally, the participant's regulatory focus was operationalized as both an induced situational state and a measured chronic trait. The results supported our hypotheses by showing a significant interaction of the interviewer's regulatory focus and the IM tactics on interview evaluation: the promotion-assertive and the prevention-defensive ratings were more positive than the prevention-assertive and the promotion-defensive ratings. Moreover, mediation analysis revealed that the interaction exerts its effects on interview evaluation by providing interviewers with an intrapersonal regulatory fit experience.     

An Observational Study on How Situational Factors Influence Media Multitasking With TV: The Role of Genres,Dayparts, and Social Viewing

This study responds to the need for research on individuals' media multitasking behavior using observational data. Media multitasking can have a profound impact on media processing and effects. However, we have little knowledge on when people are likely to engage in media multitasking and, consequently, when these effects are likely to occur. This study examines how three important situational factors—television genres, dayparts, and social viewing—influence the amount of media multitasking. Granular observational data obtained by directly monitoring and recording media consumption behaviors of a large panel at 10-second intervals are used for the analysis. The study reveals that media multitasking with television is most prevalent when people watch sports or engage in channel surfing and less prevalent with commercials, news, and entertainment. Furthermore, the extent of media multitasking is greater in the morning and afternoon than in the evening, and also greater when individuals watch television alone than in the presence of others. Daypart differences are larger for genres associated with incidental viewing (commercials and channel surfing) than for genres associated with intentional viewing (news, entertainment, and sports). Sports is the only genre that is associated with higher amounts of media multitasking when watching television with others.     

Media violence exposure in aggressive and control adolescents: differences in self‐ and parent‐reported exposure to violence on television and in video games

The purpose of present study was to investigate differences in media violence exposure between groups of adolescents with and without Disruptive Behavior Disorders with Aggressive Features, using a case‐controlled design and multimethod assessment. Samples of 27 adolescents aged 13‐17 with Disruptive Behavior Disorder with Aggressive Features and 27 age‐gender‐IQ matched controls completed a semistructured interview about exposure to violence on television and video games; parents completed a corresponding questionnaire measure. Moderate intercorrelations were found between most self‐ and parent‐report television and video game violence exposure measures. Compared to control adolescents, adolescents with Disruptive Behavior Disorder with Aggressive Features had higher aggregate media violence exposure, higher exposure to video game violence, and higher parent‐reported exposure to television violence. Results show that adolescents and parents agree about the adolescent's level of media violence exposure, that exposure to violence on television tends to be accompanied by exposure to violence in video games, and that the association between media violence exposure and Disruptive Behavior Disorder with Aggressive Features is not due to a spurious effect of gender or IQ. Aggr. Behav. 31:000–000, 2005. © 2005 Wiley‐Liss, Inc.     

Media multitasking behavior: concurrent television and computer usage

Changes in the media landscape have made simultaneous usage of the computer and television increasingly commonplace, but little research has explored how individuals navigate this media multitasking environment. Prior work suggests that self-insight may be limited in media consumption and multitasking environments, reinforcing a rising need for direct observational research. A laboratory experiment recorded both younger and older individuals as they used a computer and television concurrently, multitasking across television and Internet content. Results show that individuals are attending primarily to the computer during media multitasking. Although gazes last longer on the computer when compared to the television, the overall distribution of gazes is strongly skewed toward very short gazes only a few seconds in duration. People switched between media at an extreme rate, averaging more than 4 switches per min and 120 switches over the 27.5-minute study exposure. Participants had little insight into their switching activity and recalled their switching behavior at an average of only 12 percent of their actual switching rate revealed in the objective data. Younger individuals switched more often than older individuals, but other individual differences such as stated multitasking preference and polychronicity had little effect on switching patterns or gaze duration. This overall pattern of results highlights the importance of exploring new media environments, such as the current drive toward media multitasking, and reinforces that self-monitoring, post hoc surveying, and lay theory may offer only limited insight into how individuals interact with media.     

Beyond Cultivation: Exploring the Effects of Frequency,Recency, and Vivid Autobiographical Memories for Violent Media

Using Shrum's (1996) heuristic processing model as an explanatory mechanism, we propose that people who hold vivid autobiographical memories for a specific past experience with media violence will overstate the prevalence of real-world crime versus individuals without vivid memories. We also explore the effects of frequency and recency on social reality beliefs. A survey was administered to 207 undergraduate students who were asked to recall one violent television program or movie seen in the past. Participants were asked to write essays describing the violence, which were coded for vividness. Results support not only cultivation theory, but also the effects of memory vividness: participants with more vivid memories of blood and gore gave higher prevalence estimates of real-world crime and violence than participants with less vivid memories. Findings also suggest that females had more vivid memories for prior media violence than males. Implications for cultivation, the heuristic processing model, and vividness research are discussed.